WC Terminology
Litigation 101
Covered/non-covered
Types of Workers' compensation benefits
This and That
100

The injured worker is deemed to be “as healthy as he is going to get.

What is Maximum Medical Improvement/MMI?

100

It’s a no-fault system.

What is Workers compensation?

100

What is not covered under WC?

Injuries received by a fight that an employee started

100

Lost income recovery - total disability.

What is Temporary Total Disability (TTD)?

100

You are entitled to workers' compensation and are prohibited from suing Alsco.

Can I Sue My Employer?

200

A third party is a person or entity that contributed in some way to the workplace injury or illness.

What is subrogation?

200

An employee retains/hires a lawyer.

When can negotiations on a settlement can begin?

200

Emotional injuries that are not accompanied by a physical workplace trauma.

What is an uncovered loss?

200

To function in his or her chosen work, but not at full capacity.

What are Permanent Partial Disability (PPD) benefits?

200

Subpoenas and interrogatories.

What are forms of discovery?

300

The loss or use of a normal body function as a result of the injury.

What is an impairment rating?

300

Both sides can’t agree on a settlement amount.

What is a mediation?

300

Damages for injury-related costs, including pain and suffering.

What are personal injury claims?

300

Compensation for lifetime disability benefits.

What are Permanent Total Disability (PTD) benefits?

300

Medical past may complicate current claim.

What are pre-existing conditions?

400

Evaluation when we disagree with a doctor’s rating of an injured worker.

What is an independent medical examination or IME?

400

Determine the type of settlement.

What is a lump sum settlement (structured), a clincher, STIP or a C&R?

400

Denied reason for WC

What are injuries sustained due to being intoxicated in the workplace.

400

Benefits to the spouse or dependents if a worker dies.

What are survivor benefits?

400

Identify suspicious inconsistencies or irregularities.

What is a potential fraudulent claim?

500

Statute of limitations could be one to three years.

How long does an employee have to file a claim?

500

Legal Opinion on difficult legal issues and denied claims.

What are workers' compensation hearings?

500

Accepted claims qualify for benefits.

What are medical,  rehabilitative care expenses, and compensation for lost wages.

500

Gainful employment to a job compatible with the work restrictions assigned, with pay as close as possible to the pre-injury wages.

What are vocational rehabilitation benefits?

500

Knowledge of appeal procedures and legal defense strategies.

How to defend a denied claim?

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